Skip to main content

4th Year Prof Viva Questions


Subject
Question Asked
Examiner
Correct Answer
ENT
Name the instrument.

When named, the question asked was 'give it's use'
Prof. Azhar Hameed
Ballinger Swivel Knife

Used in SMR
ENT
LONG CASE:
What's your diagnosis?

What treatment do you suggest?
Prof. Azhar Hameed
Secretory Otitis Media

Surgery: grommet insertion

[read details in the book :)]
ENT
"what passes through foramen lacerum?"

"where is the incision given in septoplasty?"
Prof. Azhar Hameed
ENT
Define Dysphagia lusoria
Prof. Azhar Hameed
ENT
Define Nasal Polyp. how do you differentiate between the two types of nasal polyps
Prof. Amjad
ENT
Pathological lesion of achalasia cardia
Prof. Azhar Hameed
ENT
What is CSF rhinorrhea
Prof. Azhar Hameed
ENT
What is Temporal lobe abscess and its precautions?

How does the lesion reach temporal lobe abscess?

What are the clinical features of temporal lobe abscess?
Prof. Azhar Hameed
ENT
Define Bezold abscess and its precautions.

What are it's clinical features?
Prof. Azhar Hameed
ENT
How much CSF is produced within 24 hours
Prof. Azhar Hameed
ENT
What is Ludwig’s angina?
Prof. Azhar Hameed
ENT
Clinical Presentation of sub-dural abscess
Prof. Azhar Hameed
ENT
Define Vestibular nystagmus
Prof. Azhar Hameed
ENT
Give the bumber of ethmoid bones in the skull
Prof. Azhar Hameed
ONE.

You may be asked to list the parts of ethmoid bone as a leading question... be ready!
ENT
Parts of temporal bone
Prof. Azhar Hameed
ENT
Contents of internal acoustic meatus
Prof. Azhar Hameed
ENT
Contraindications of oesophagoscopy
Prof. Azhar Hameed
ENT
describe functions of airway used in ent
dr manzoor
during anaesthesia if tongue falls back maintains open airway
ENT
Hoarseness and its causes, the degrees of "T" in TNM staging of Laryngeal carcinoma (By External)

Indications of SMR (By Dr. Paal)

Causes of lymphadenitis, investigations required and the treatment of Hodgkin's lymphoma (Long case taken by External Examiner)

Short case taken by external examiner: Examine the left ear and check for nystagmus. How would you ascertain the mobility of tympanic membrane?
Dr. Mansoor Basir Pal and External Examiners
ENT
Dr Pal:
What is this(Pointing towards the mastoid retractor), Use of Mastoid retractor, Name 5 causes of Deafness due to Conditions of external ear, What is Malignant Otitis Externa? Why is it called Malignant ?!

External;
Acoustic Neuroma? From where does it arise ?! Investigation ? What is Brainstem evoked Response !

Long Case Same external:
Depends on your case .. Jo case milta hay us say related question poch liya tha..easy hota hay agar akal mandi say answer do..

Short Case:
IDL
Viva On Vocal Cord PALSY..
PAL sb
Dhingra
Eye
Name the instrument, and list it's uses in ophthalmology
External Unit 2 (name?)
Convex lens: used in dark room tests, and for treatment of hypertropia

Non ophth uses: magnifying glass, optical instruments
Eye
You are about to get married, and your would be wife doesn't like your glasses... what options do you have to fulfill her wish?
Prof. Mumtaz Hussein
I have myopia, so had to give the surgical options for treatment of myopia.

Contact lens: [sir said: Yaar woh to fraud ho ga... ;)]

He wanted to hear the surgical options... so mentioned them... and be ready for the complications of the procedures...
Eye
indications of enucleation, difference between enucleation and evisceration
prof mumtaz
Eye
Dr Sahi Short Case:
Arcus..and his pet questions..just draw what you see...simple !

Long Case:
Jo long case hey us ka viva achi tarhan parh jao..u have enuff time...mine was aphakia..every question was in JOGI..aram say ho jata hay

Short Case:
Squit: Diagnostic test karo..i did Cover uncover Test using my Hand..it was alternating concomitant squint !

Corneal Opacity..what is your diagnosis ? Treatment ? from where you will take the graft for cornea ?

@Short Case Prof Mumtaz Sb.
Staphyloma..and Myopia..then perfomd Retinoscopy..!

Short Case Another External:
Stye,
Corneal Ulcer and complication
Eye
Corneal Opacity treatment..

If the eye is blind, Do tatooing..
if the eye is not Blind, Do Keratoplasty...

take graft from Eye Bank
Pathology
Give the names of malignant neoplasms of the thyroid
Prof. I A Naveed
Paprillary carcinoma, follicular carcinoma, medullary carcinoma, anaplastic carcinoma
Pathology
Dr Munir: Diseases of Muscles, diseases of blood vessels, parasites affecting muscles, method of confirming infection of trichinella spiralis, and method of determining from which muscle the biopsy should be acquired (obviously a CT-Scan, Ultrasound or X-Ray).

External examiner: A model of atheromatous aorta, sentinel lymph nodes, commonest cause of cirrhosis in the world and in pakistan, causes of Right ventricular failure, whether systemic hypertension is related to right ventricular failure or not, how to differentiate between ductal carcinoma in situ and invasive ductal carcinoma on light microscope, commonest breast carcinoma, genetics of breast carcinoma, effects of silicosis on lungs.

Other questions asked from others were Caplan Syndrome and effect of cold on lungs.

Dr. Samina Naeem: A scenario in which PT normal PTT prolonged and bleeding time also prolonged, what is the mode of inheritance of vWD, which factor deficiencies are inherited, the factor the deficiency of which causes thrombosis rather than bleeding tendencies, the function of factor 13 (XIII), laboratory investigations in haemolytic aneamia, reticulocyte count.

External examiner taking viva of long slides: I got Papillary carcinoma of thyroid, microcytic hypochromic anaemia and Chondrosarcoma. Questions were asked related to papillary carcinoma. How to differentiate between follicular carcinoma and follicular adenoma by light microscopy, what is the appearance of psamomma bodies and where else are they appreciated by LM.

Scenario case with internal examiner: Related to a finding of HYPONATRAEMIA in a hospitalized patient who was neither over nor de hydrated. Questions were related mainly to ADH functions and associated diseases.
Dr. Munir, Dr. Samina, External     and Internal Examiners
Remember that hyponatraemia in a hospitalized patient after a major surgery may either be due to     stress-induced ADH release OR overhydration through exuberant IV line.

The factor deficiency related to THROMBOSIS is factor 12 (XII). This is also a very important usmle relevant clinical point. The reason for that is that activated factor 12 also activates the thrombolytic system through liberating the kinins. Its deficiency may not account for bleeding because of compensation by the external cascade of coagulation (Factor 7).

Effect of cold on lungs may be vaguely defined as pneumonia but should specifically be labelled as interstitial pneumonitis. Remember that overventilating in cold environment induces inflammatory and oedematous changes in the airways which also accounts of transient hoarseness of voice and croupy dry cough.
Pathology
My viva Q Mam Samina:
TLC, DLC, NameLeukemias/ Lymphomas,Commonest Non Hogdkin lymphomaPAKISTAN,Burkit,its morphology,Is Burkit present in some Leukemia which one,Which Class Of FAB,which cell,CLLvsSLL,H. anemia,Autoimmune HA,example,,Coombs test, Direct/Indirect Coombs.

External:Lung CA, Effects of Smok on BV,Tree Bark,...Hep B&C,Which is more preventable?!

Dr Munir :Names of Liver Diseases,HEP B,Diabetes
Dr Patho



Comments

Post a Comment

Your feedback is appreciated!

Here's more you should read...

USMLE Step 1 Experience by Ayaz Mehmood (Score : 99/266)

USMLE Step 1 Experience by Ayaz Mehmood (Score : 99/266)
Salam everyone, let me start in the name of Allah who’s the greatest benefactor of all mankind. I am going to write a detailed composition regarding preparation for USMLE Step 1. I am a final year student at King Edward Medical University and I took my exam on June 10th. Final year is the year before internship/ house job in Pakistan. I just got my scores: 99/266



Let me introduce some myths surrounding USMLE Step 1 which are especially prevalent within Pakistan; I am not too sure about India because I heard their students typically appear in their final years.


 Myth number 1:Do not appear for USMLE Step 1 within your graduation

 Verdict: Baseless, illogical reasoning

Explanation: This is so prevalent in Pakistan it’s almost pathetic. One of the biggest concerns surrounding our students is that Step 1 is a huge risk to be taken before graduation. Let me put it in another way: Step1 would always remain a risk whenever it is taken, …

Australian Medical Council AMC Part 1 Guide - Experience and Tips

AMC Part 1 by Dr. Asad Khizar Malik (Rank : 77/620) Australian Medical Council  Guide - Experience and Tips
Salam people, let me start in the name of Allah who’s the greatest benefactor of all mankind. Hope everyone is doing great. I'll try to write as much as I can for the people who are due to various reasons more interested in joining Australian Hospitals for post-grad training as compared to the USMLE pathway.

I am a graduate of King Edward Medical University, class of 2004-2010. I did my 6 months house job after graduation in Mayo Hospital, and after that, i gave my AMC Part 1 in November, 2010 from Brisbane. With the grace of Allah, I passed that in first attempt.

So lets start with the discussion here, but PLEASE NOTE THAT IT IS ENTIRELY MY PERSONAL EXPERIENCE AND REASONING WHY I PREFERRED AUSTRALIA OVER USA FOR RESIDENCY.

First thing in mind that comes with post grad training in Pakistani doctors minds is: Which way to go after graduation? That is a very tough decision that is …

FSc Premedical Guide - How to fly high..

FSc Premedical Guide - How to fly high.. Unsa Athar Your 40% needs to be excellent to get into KEMU or  some other good place.
(Dedicated to my teachers who not only taught me the fsc books but also many priceless lessons of life)
(Unsa Athar)
The tree that never had to fight For sun and sky and air and light, But stood out in the open rain And always got its share and rain, Never became a forest king, But lived and died a scrubby thing… Good timber does not grow with ease, The stronger wind, the stronger trees.
Getting yourself educated in the desi manner i.e. through the Board of Intermediate and Secondary Education is one of the top most challenges of today’s society. Matriculation seems difficult at that time, but when you enter FSc, you realize that matric was the easiest job in the world.  Those obese books of intermediate part I and part II are the worst enemies one can ever have.  People say Medical is tougher, but I find one basic difference in both. When you enter a medical college, y…

HISTOLOGY SLIDES AND HANDMADE DIAGRAMS

Anatomy/Histology Gallery
Read the instructions here 1st Year

Histology Slides for Professional Exams
Folder 1- Labelled Folder 2 - Labelled Folder 3 - Labelled
Histology Revision Slides Updated (2011)
by Laiba Khalid
Lower Limb Anatomy Spotting Labelled
http://kemunited.blogspot.com/2013/05/lower-limb-spotting-labelled.html

Embryology Models Some models are labelled and others mentioned in comments

Anatomy Museum Models (unlabelled) This album covers Upper limb, Lower limb and Thorax regions of anatomy

2nd Year
HISTOLOGY Diagrams Hand-drawn CARDS 2ND YEAR MBBSThese are hand-drawn histology diagrams by Demonstrator Dr. Shaista (Dept of Anatomy, KEMU) and submitted by Anosha.NEUROLOGY/ Neuroantomy SPOTTING  (LABELLED SPECIMEN) 2ND YEAR  Each structure is labelled and a great job done by Anosha. Neuroanatomy / Brain 2nd Year Important topics by LaibaNeuroanatomy Models Labelled  Gross models labelled by Maryam Shahid Abdomen & Pelvis Anatomy Spots Labelled Excellent job by Maryam Shahid
Anatomy Learni…

USMLE Step 2 CK experience by Rizwan Khan (254)

IN THE NAME OF ALLAH THE MOST BENEFICENT AND MERCIFUL

     I recently got done with Step 2 CK exam & I want to elaborate my experience and the mistakes that I made during my prep so that any of my colleagues who are preparing for this exam might benefit from them. I wont go much in detail about how to prepare and where to prepare from since it is already highly debated on the forum and in the previous posts but would focus more on my personal experience and the bad choices which I made during the preparation phase.
SELF-ASSESSMENTS AND QBANKS Uworld 74% Kaplan Qbank 69%
Kaplan diagnostics  = 80% (70 days before exam) Kaplan Simulation Exam 1 = 71% (50 days before exam) Kaplan Simulation Exam 2 = 76%  (40 days before exam) Fred simulation for CK = 84% (39 days before exam) NBME 2 (offline) 21 mistakes (30 days before exam)
NBME 4  =    263 (13 days before exam) UWSA =  259 (2 days before exam)
Real exam = 254